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[Relationship between sex steroids and bone density in elderly men].
Lourdes Basurto1, Renata Saucedo, Rosa Galván
1Unidad de Investigación de Enfermedades Endocrinas, Diabetes y Metabolismo, Departamento de Radiología e Imagen, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Distrito Federal, México.
Serum estradiol and free testosterone levels are linked to bone mineral density in elderly men. Testosterone may convert to estradiol, influencing bone health.
Area of Science:
- Endocrinology
- Gerontology
- Bone Metabolism
Context:
- Bone mineral density (BMD) is a critical indicator of skeletal health in aging populations.
- Hormonal changes, particularly in androgens and estrogens, play a significant role in bone maintenance in men.
Purpose:
- To investigate the association between serum estradiol level (ESL) and serum testosterone level (TSL) with bone mineral density (BMD) in men aged 60 and over.
Summary:
- A cross-sectional study of 127 healthy elderly men found significant positive correlations between ESL and BMD at the lumbar spine and femoral neck.
- While TSL showed no correlation with BMD, calculated free testosterone level (FTL) was positively associated with BMD at both sites.
- These associations remained significant after adjusting for body mass index and age.
Impact:
- Serum estradiol levels and free testosterone levels are independently associated with bone mineral density in elderly men.
- Findings suggest that peripheral conversion of testosterone to estradiol may be a contributing factor to bone health in aging males.
- Highlights the importance of monitoring sex hormone levels in older men for assessing osteoporosis risk.
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